BROOKE ANN ENRIQUEZ (NPI# 1164058145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164058145 |
| Entity Type | Individual |
| Full Name | BROOKE ANN ENRIQUEZ |
| Practice Address |
3606 Main St Ste 202 Vancouver WA 98663-2235 |
| Mailing Address |
3415 Ne 88th St Vancouver WA 98665-0175 |
| Practice Telephone | 3606192226 |
| Mailing Telephone | 3608397812 |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2020-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
60922411 | WA | Behavioral Health & Social Service Providers |
| Street Address |
3606 MAIN ST STE 202 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663311 | Second Fruit Wellness Services LLC | Counselor | 2800 E Evergreen Blvd Ste B, Vancouver, WA 98661-4934 | 2020-06-15 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1962966127 | Anne Towler Counseling PC | Counselor | 1353 Officers Row, Vancouver, WA 98661-3856 | 2019-01-22 |
| 1386197028 | Kendall Jones | Counselor | 15105 Ne 74th St, Vancouver, WA 98682-5148 | 2016-07-29 |
| 1447610464 | Kelby Inmon | Counselor | 1104 Main St Ste 320, Vancouver, WA 98660-2955 | 2016-03-03 |
| 1164814778 | Margaret Trenholm | Counselor | 10512 Ne 37th Ave, Vancouver, WA 98686-4384 | 2015-02-19 |
| 1619379898 | Pivot Pointe Counseling Center | Counselor | 11818 Se Mill Plain Blvd. Suite 213, Vancouver, WA 98684-5091 | 2014-09-19 |
| 1922333962 | Elvira Bayless | Counselor | 2710 E Mcloughlin Blvd, Vancouver, WA 98661-4722 | 2009-10-08 |
| 1205951779 | Charles James Verro | Counselor | 314 W 15th St Ste 200, Vancouver, WA 98660-2927 | 2007-03-20 |
| 1023146628 | Arabeth Muller Mashek | Counselor | 415 W 11th St, Vancouver, WA 98660-3147 | 2007-03-02 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.